KEITH A BERENS

PENSACOLA, FL
NPI1174505788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9101561)
Enumeration Date2005-11-18
Last Update Date2007-07-08
Business Address
Mr. KEITH A BERENS PAC
1717 NORTH E STREET SUITE 422
PENSACOLA, FL 32501-6339
Phone number: 850-444-7050
Mailing Address
Mr. KEITH A BERENS PAC
4441 LA JOLLA
PENSACOLA, FL 32504-7839
Phone number: 850-261-8030
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